Individual
AMIR BAHARLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 CROSSROADS DR STE 15, OWINGS MILLS, MD 21117-5479
(410) 363-4343
(410) 356-6373
Mailing address
20 CROSSROADS DR STE 15, OWINGS MILLS, MD 21117-5479
(410) 363-4343
(410) 356-6373
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007329
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2020
Last updated
05/30/2023
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